Active NPI
Teresa Navarro, MT
- Massage Therapist
- Kailua Kona, HI
National Provider Identifier
1083004865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT 12604
- Practice address
- 75-5706 Kuakini Hwy
Suite 105
Kailua Kona, HI 96740-1751 - Phone
- (808) 345-7542
- NPI assigned
- Jan 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT 12604 | HI | Primary |
Addresses
Primary practice location
75-5706 Kuakini Hwy
Suite 105
Kailua Kona, HI 96740-1751
Mailing address
75-5706 Kuakini Hwy
Suite 105
Kailua Kona, HI 96740-1751
Phone (808) 345-7542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 12604 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1083004865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5706 KUAKINI HWY",
"address_2": "SUITE 105",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401751",
"telephone_number": "808-345-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5706 KUAKINI HWY",
"address_2": "SUITE 105",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401751",
"telephone_number": "808-345-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "TERESA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT 12604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.